Individual provider Active NPI

Sidney W Kass, MD

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1295798635
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
3397 Issued in MN
Practice address
100 N Green Valley Pkwy
#325
Henderson, NV 89074-6391
Phone
(702) 776-7137
Fax
(702) 776-7138
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 3397 MN Primary

Addresses

Primary practice location

100 N Green Valley Pkwy
#325
Henderson, NV 89074-6391

Mailing address

100 N Green Valley Pkwy
#325
Henderson, NV 89074-6391
Phone (702) 776-7137

Other identifiers 1

IdentifierTypeStateIssuer
33G01TWOtherMNBLUE CROSS MN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3397MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Centeno-Schultz, Inc Past Accepting new patients
Kass Medical Holdings Inc Anesthesiology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1295798635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY",
            "address_2": "#325",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746391",
            "telephone_number": "702-776-7137",
            "fax_number": "702-776-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY",
            "address_2": "#325",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746391",
            "telephone_number": "702-776-7137",
            "fax_number": "702-776-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASS",
        "first_name": "SIDNEY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "3397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MN",
            "identifier": "33G01TW",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.